Rhinoplasty, or nose surgery, is one of the most common plastic surgery procedures performed today. A nose job is often recommended for medical and health reasons as well as for cosmetic enhancement. The surgical procedure is a very safe and effective procedure that is performed every day across the nation.
Dr. Donald Roland practices rhinoplasty in the Manhattan and greater New York City, NY, area. For his patients’ convenience, he maintains two busy practice offices and is also affiliated with a number of nearby and well-respected surgical centers and hospitals.
If you are considering whether to have a nose job, this article will provide you with general information to help you decide.
The Rhinoplasty Procedure
The rhinoplasty is sometimes called simply a “nose job”, since the focus of the procedure is on altering the appearance of the nose. Along with cosmetic improvements, rhinoplasty often results in better breathing, fewer allergy and nasal drainage symptoms, and relief from snoring and disrupted sleep.
Nose job can take several approaches depending on the patient’s facial structure and personal goals. For instance, the tip of the nose can be altered or reduced. Also, for patients who have a “bump” on the bridge of their nose, the bridge can be straightened and the bump removed. If the nose is curved, it can be straightened for a more even appearance. The overall profile of the nose in context with the face can also be raised.
Dr. Roland can talk with you during your consultation to recommend the best combination of techniques to meet your rhinoplasty goals.
Why Have a Rhinoplasty Procedure?
Rhinoplasty is one of the most commonly requested cosmetic surgery procedures. However, due to the rapid growth of the facial area, Dr. Roland recommends that patients be at least age 14 or older before having nose job performed. This will ensure the best and most stable results.
In addition to improving issues with breathing and health, a nose job can be a huge confidence booster, especially in younger patients who may be especially sensitive to peer commentary and bullying, however unwarranted. In patients of any age, this surgical procedure can contribute to a more even and harmonious facial appearance, which can result in better self-esteem and self-confidence both at home and in the workplace.
Good Candidates for a Rhinoplasty Procedure
Generally speaking, a person aged 14 or older who is in good health otherwise can be considered to fundamentally be a good candidate for a rhinoplasty procedure.
However, there are a few distinct situations in which Dr. Roland may recommend a postponement of the rhinoplasty procedure, including the following::
- If you are currently trying to conceive, are now pregnant or are breastfeeding.
- If you are currently healing from or soon to have a major facial procedure done.
- If you have a known skin allergy or disease that may lead to keloid scarring or unwanted pigmentation changes.
- If you are taking any medications that may interfere with blood clotting or cause an adverse reaction with anesthesia.
- If you are suffering from any serious illness such as diabetes, cancer or an autoimmune issue.
- If you are planning to start or are in the middle of a major weight loss regimen.
- If you smoke or are unwilling to stop smoking before and after your rhinoplasty for a period of time (heavy smoking can cause the body to be less able to heal itself).
- If you have unreasonable expectations for the outcome of your surgery.
As well, it is important to choose to have a surgery nose because you personally want to have it and not because you are being pressured from an outside source.
Preparing For The Initial Rhinoplasty Consultation
During your consultation, you will meet with Dr. Roland one on one to share your reasons and goals for having a rhinoplasty. You can also bring in pictures of nose shapes you admire if you wish.
Dr. Roland will need to first take a personal and family medical history to ensure you are a good candidate to have a nose rhinoplasty procedure done. You will also need to provide a list of current medications and supplements you are taking to be sure none may interfere with anesthesia or contraindicate surgery.
Dr. Roland will take some “before” photos of your nose from the front and side views. He will make some notes and perhaps make some marks on the photos to indicate your goals for your rhinoplasty. You will also be able to ask any questions and learn about possible financing options if desired.
Before you leave Dr. Roland’s office, you will be able to schedule your rhinoplasty procedure if desired.
Rhinoplasty Frequently Asked Questions
You probably have a lot of questions to ask Dr. Roland. This list of general patient questions may also be of help as you brainstorm your own list of questions.
What Happens During a Rhinoplasty Procedure?
The scope of your individual rhinoplasty goals will determine the length of the procedure itself. In general, a surgery rhinoplasty will take between one and three hours from start to finish.
You can have your procedure done at one of Dr. Roland’s two Manhattan-area offices or at a nearby surgical center or hospital. When you arrive on the day of your procedure, Dr. Roland’s staff will make sure you are completely comfortable. Dr. Roland will review the procedure with you and then prepare you by administering general anesthesia.
There are two approaches to rhinoplasty – open and closed. The approach Dr. Roland takes will depend on your facial structure and procedure goals. In either case, any incisions will be very small and just sufficient for Dr. Roland to perform the cartilage and/or bone sculpting and replaning required to achieve your goals for your rhinoplasty procedure.
What Is the Recovery From a Rhinoplasty Like?
You may want to have someone available to drive you home after your rhinoplasty procedure, since you will likely have some temporary swelling, bleeding bruising and discomfort.
The first 24-48 hours following surgery is when most discomfort occurs. For this reason, Dr. Roland’s staff will ensure you have a full set of recovery instructions, including prescriptions for any recommended pain medications should you feel the need. To reduce discomfort, Dr. Roland may also use nasal packing to ease temporary side effects that may occur in the first 24 hours.
Most of the swelling should be gone within the first two weeks following your procedure. At approximately two weeks following your procedure, you will return to Dr. Roland for a post-procedure visit and to have your sutures removed.
How Soon Can I Return to Work Following a Rhinoplasty Procedure?
Most patients prefer to wait a few days after having their rhinoplasty before returning to a full work schedule. However, if your career involves physical labor or heavy lifting, Dr. Roland may advise a longer period of recovery before returning to work.
Scheduling your rhinoplasty surgery at the end of the week can help to minimize any time away from work.
When Can I Resume My Normal Daily Schedule After Having Rhinoplasty?
Because your nose will need some time to heal, Dr. Roland usually recommends that patients not resume vigorous exercise, heavy lifting or strong physical exertions for at least four to six weeks following rhinoplasty. Any contact sports may need to be postponed for up to a year.
However, so long as your exertions are moderate, you may resume the majority of your daily routine within a few days following your procedure.
Are There Any Risks Associated With Having a Rhinoplasty Procedure?
As with any type of invasive procedure where incisions are involved, there is always a slight infection risk. Every effort will be made to reduce this risk.
As well, in rare cases patients may experience an allergic reaction to the anesthetic, excessive bleeding, some scarring (especially if an open procedure was performed), nerve damage near the site, or poor healing that can result in the need for later surgical revision.
How Soon Will I Be Able to See the Results After Rhinoplasty NYC?
Because the nasal area is such a sensitive part of the face, it can take up to 12 months before the site is fully healed and all swelling is gone for good.
So while you will begin to see the results of your rhinoplasty procedure within four to six weeks following surgery, you may not experience the full impact of the change for up to a year.